Individual
CARLA JOBETH PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4300 LANDERS RD, NORTH LITTLE ROCK, AR 72117-2525
(501) 771-1600
(501) 955-2252
Mailing address
5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
(501) 663-6645
(501) 663-4877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-445
AR
363AM0700X
Medical Physician Assistant
PA-445
AR
363AS0400X
Surgical Physician Assistant
0010-01506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202645795
—
AR
Enumeration date
10/10/2008
Last updated
04/01/2025
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